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Ms. Kathryn A Kolton

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NPI Number Detailed Information

Provider Information:

Name: Ms. Kathryn A Kolton
Gender: F
Provider License Number If Given: F300834

NPI Information:

NPI: 1811990856
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 10/25/2007

Provider Business Mailing Address:

Address: 53-59 PUBLIC SQ STE 301
Watertown, NY 13601
Phone Number: 3157822141
Fax Number: 3157825123

Provider Business Practice Location Address:

Address: 53-59 PUBLIC SQ STE 301
Watertown, NY 13601
Phone Number: 3157822141
Fax Number: 3157825123

Provider Taxonomy:

Primary: 363L00000X
Secondary (if any): 363LF0000X
State: NY

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